Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.38 / $157.38 / $391.09	Facility		$157.38	$157.38	$391.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.36 / $202.15 / $447.43	Professional		$157.36	$202.15	$447.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.14 / $171.14 / $363.00	Professional		$171.14	$171.14	$363.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.43 / $464.00 / $1,216.34	Facility		$331.43	$464.00	$1,216.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.69 / $275.58 / $529.11	Professional		$176.69	$275.58	$529.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $265.14 / $397.72 / $530.29	Facility		$265.14	$397.72	$530.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.72 / $331.43 / $464.00	Professional		$281.72	$331.43	$464.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.69 / $194.92 / $194.92	Facility		$184.69	$194.92	$194.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $184.69 / $361.50	Professional		$142.29	$184.69	$361.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.89 / $331.43 / $460.02	Professional		$251.89	$331.43	$460.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $311.94 / $422.57 / $613.15	Professional		$311.94	$422.57	$613.15
United Facility/Professional Professional Modifier Low / Median / High Price $110.23 / $165.35 / $272.79	Professional		$110.23	$165.35	$272.79